The Role of Unobtrusive Home-Based Continuous Sensing in the Management of Postacute Sequelae of SARS CoV-2.
The Role of Unobtrusive Home-Based Continuous Sensing in the Management of Postacute Sequelae of SARS CoV-2.
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DOI：
10.2196/32713
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发表时间：
2022-01-26
影响因子：
7.4
通讯作者：
Schoenfeld ER
中科院分区：
文献类型：
--
作者：
Corman BHP;Rajupet S;Ye F;Schoenfeld ER
据报道，在COVID-19大流行期间，超过35%的确诊或疑似COVID-19患者出现SARS CoV-2急性后后遗症（PASC）。PASC仍然是一种正在收集初步医学数据的疾病，主要是在医院或临床访问期间收集的测量结果，并且对病理生理学的理解还处于起步阶段。该疾病以其患病率和多变的症状表现而闻名，因此，如果医疗保健提供者能够获得不显眼的基于家庭的可穿戴和非接触式连续生理和物理传感器数据，则可以更全面地制定管理计划。这样的医院间或诊所间数据可以定量地阐明PASC症状的大部分时间演变。虽然不能普遍与黄金标准医疗设备的准确性相媲美，但家庭部署的传感器为PASC的发展和进步提供了很好的见解。合适的传感器包括提供与记录的PASC症状直接相关或通过代理相关的生命体征和活动测量的传感器。这种连续的、基于家庭的数据可以为护理提供者提供情境化的信息，从该信息可以对症状加重或缓解因素进行分类。这些数据还可以通过提供时间和活动相关的症状编目来提高PASC的集体学术理解。从这个角度来看，我们提出了一个案例，利用家庭为基础的连续传感，可以作为一个基础，医疗专业人员和工程师可以开发和追求长期缓解PASC的策略。
Amid the COVID-19 pandemic, it has been reported that greater than 35% of patients with confirmed or suspected COVID-19 develop postacute sequelae of SARS CoV-2 (PASC). PASC is still a disease for which preliminary medical data are being collected—mostly measurements collected during hospital or clinical visits—and pathophysiological understanding is yet in its infancy. The disease is notable for its prevalence and its variable symptom presentation, and as such, management plans could be more holistically made if health care providers had access to unobtrusive home-based wearable and contactless continuous physiologic and physical sensor data. Such between-hospital or between-clinic data can quantitatively elucidate a majority of the temporal evolution of PASC symptoms. Although not universally of comparable accuracy to gold standard medical devices, home-deployed sensors offer great insights into the development and progression of PASC. Suitable sensors include those providing vital signs and activity measurements that correlate directly or by proxy to documented PASC symptoms. Such continuous, home-based data can give care providers contextualized information from which symptom exacerbation or relieving factors may be classified. Such data can also improve the collective academic understanding of PASC by providing temporally and activity-associated symptom cataloging. In this viewpoint, we make a case for the utilization of home-based continuous sensing that can serve as a foundation from which medical professionals and engineers may develop and pursue long-term mitigation strategies for PASC.
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影响因子：
5.6
作者：
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作者：
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通讯作者：
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影响因子：
64.8
作者：
Al-Aly, Ziyad;Xie, Yan;Bowe, Benjamin
通讯作者：
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DOI：
10.1016/j.jagp.2021.04.008
发表时间：
2022-01
期刊：
The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry
影响因子：
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作者：
Au-Yeung WM;Miller L;Beattie Z;May R;Cray HV;Kabelac Z;Katabi D;Kaye J;Vahia IV
通讯作者：
Vahia IV